Individual provider Active NPI

Charissa Diane Newton, CNM

  • Advanced Practice Midwife
  • Mason, OH
National Provider Identifier
1053852947
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.019322 Issued in OH
Practice address
7450 S Mason Montgomery Rd
Suite 201
Mason, OH 45040-7802
Phone
(513) 770-2797
NPI assigned
Mar 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN.CNM.019322 OH Primary

Addresses

Primary practice location

7450 S Mason Montgomery Rd
Suite 201
Mason, OH 45040-7802

Mailing address

7450 S Mason Montgomery Rd
Suite 201
Mason, OH 45040-7802
Phone (513) 770-2797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170519001000 OH Practitioner - Certified Nurse Midwife (CNM) 3870860943 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN.CNM.019322OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince May 14, 2017 Accepting new patients
Premier Health Specialists Inc CurrentSince May 14, 2017 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

9000 N Main St
Ste 232
Englewood, OH 45415

7117 Dutchland Pkwy
Liberty Township, OH 45044
Phone (513) 770-2797

7450 S Mason Montgomery Rd
Unit 201
Mason, OH 45040
Phone (513) 229-7791

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

630 N Main St
Ste 200
Springboro, OH 45066
Phone (937) 748-8516

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1053852947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 S MASON MONTGOMERY RD",
            "address_2": "SUITE 201",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407802",
            "telephone_number": "513-770-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 S MASON MONTGOMERY RD",
            "address_2": "SUITE 201",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407802",
            "telephone_number": "513-770-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "CHARISSA",
        "middle_name": "DIANE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.019322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.